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Health and psychosocial differences between binary transgender and nonbinary adults: A national probability sample
Gina L Scorpiniti1, Jeremy D Kidd2, Thomas E Corbeil3
1Department of Psychology, University of Miami, Miami, FL, USA.
Psychiatry Research
|April 27, 2026
Summary
Binary transgender and nonbinary adults experience different health challenges. Nonbinary individuals report worse health and higher victimization, while binary transgender adults more often desire parenthood. Targeted interventions are needed.
Area of Science:
- Sociology
- Public Health
- Gender Studies
Background:
- Transgender and gender nonbinary individuals face significant health disparities.
- Existing research often uses convenience samples or groups diverse gender identities, masking subgroup differences.
Purpose of the Study:
- To compare health and psychosocial outcomes between binary transgender adults and nonbinary adults.
- To identify distinct challenges faced by these subgroups to inform targeted interventions.
Main Methods:
- Analysis of data from two national probability samples (Generations and TransPop).
- Comparison of health outcomes, victimization, and social support using multivariable regression models.
- Controlled for age, sex assigned at birth, and employment.
Main Results:
- Nonbinary individuals reported lower "good" or better health (58.9%) compared to binary transgender adults (78.4%).
- Nonbinary adults experienced higher rates of functional limitations (75.0% vs. 41.4%), physical/sexual assault (aOR=2.03), and partner conflict (aOR=2.74).
- Binary transgender adults had a higher unmet desire for parenthood (40.9% vs. 18.0%), while psychological distress and life satisfaction were comparable.
Conclusions:
- Binary transgender and nonbinary adults exhibit distinct health and psychosocial profiles.
- Nonbinary individuals face greater challenges in physical health and safety.
- Targeted interventions are crucial to address the specific needs of each subgroup.
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